Definition

Postpartum depression
is a type of
depression
that affects some women shortly after childbirth. It is not uncommon for women to experience temporary mood disorders after giving birth. If it goes on for more than two week, it is called postpartum depression.

Causes

The cause of postpartum depression is unclear. The cause may be related to sudden hormonal changes during and after delivery. Untreated thyroid conditions may also be associated with postpartum depression.

Central Nervous System

Symptoms

Symptoms usually occur within six months after childbirth, though they may begin during the pregnancy and may last from a few weeks to a few months. It most often started within the first few weeks after childbirth. Symptoms may range from mild depression to severe psychosis.

Diagnosis

The doctor will ask about your symptoms and medical history. A physical exam may be done. Your doctor may ask you to have blood tests to see if an undiagnosed physical problem, like a thyroid condition, could be contributing to your symptoms. You may be referred to a mental health professional.

Treatment

Treatment for postpartum depression may include counseling, medication, or both.

Medications

Medication
may include:

Antidepressants

Anti-anxiety drugs

Anti-psychotic drugs for severe cases

Talk with your doctor about potential medication side effects and how they might affect your child if you are breastfeeding.

Counseling

You may be referred to a therapist for counseling.
Counseling may be individual or with a group.
Support groups
for mothers with postpartum depression can help you see that others are struggling with and managing postpartum depression.

Prevention

Since postpartum depression is aggravated by stress, life stressors should be kept to a minimum after delivery. The following may help prevent postpartum depression:

Before Delivery:

Childbirth education classes

Realistic expectations about the postpartum experience

After Delivery:

Get treatment for any mood disorders

Help with childcare and household chores

Rest when you can

Some women feel better when the number of visitors is limited; others feel better when they have other people around

Support to allow yourself some enjoyable personal time, such as going for a walk

Postpartum depression.
American College of Obstetricians and Gynecologists website. Available at:
http://www.acog.org/~/media/For%20Patients/faq091.pdf?dmc=1&ts=20130312T1333495763. Accessed June 11, 2013.

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